Individual
CHRISTOPHER SHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1000 LINCOLN DR, SOUTH CHARLESTON, WV 25309-2304
(304) 768-4440
Mailing address
5313 ALPINE DR, CROSS LANES, WV 25313-1603
(304) 549-1493
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002395
WV
Other
Enumeration date
08/14/2017
Last updated
08/14/2017
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